Table 3.
Common Forms of Familial FSGS
| Gene (protein effected) |
Inheritance | Typical Age of Onset |
Distinguishing Clinical Features |
|---|---|---|---|
| NPHS1 (nephrin) | AR | infancy | Congenital nephrotic syndrome (Finnish type); severe nephrosis leading to ESRD |
| NPHS2 (podocin) | AR | 3 mo-5 y | 10–20% of SRNS in children |
| WT1 (Wilms tumor 1) | AD | child | Diffuse mesangial sclerosis/FSGS +/− Wilms tumor or urogenital lesions |
| PLCε1 (phospholipase Cε1) | AR | 4 mo-12 y | Diffuse mesangial sclerosis/FSGS |
| CD2AP (CD2- associated protein) | AR | <6 y | Rre, progresses to ESRD |
| INF2 (inverted formin 2) | AD | Teen/young adult | Mild nephrotic syndrome, but progressive CKD |
| ACTN4 (α- actinin 4) | AD | Any age | Mild nephrotic syndrome, may develop progressive CKD |
| TRPC6 | AD | Adult (age 20- 35) | Nephrotic, progressive CKD |
| tRNALeu(UUR) gene | Mitochondrial DNA | Adult | May be associated deafness, diabetes, muscle problems, retinopathy (maternal inheritance) |
Abbreviations: AR, autosomal recessive; AD, autosomal dominant; CKD, Chronic Kidney Disease; ESRD, End-Stage Renal Disease; FSGS, Focal Segmental Glomerulosclerosis; tRNA, transfer RNA; Leu, leucine; TRPC6, transient receptor potential cation channel 6;